Healthcare Provider Details

I. General information

NPI: 1285727784
Provider Name (Legal Business Name): JAMES CHAU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HIEP THE CHAU M.D.

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N MAIN ST
SANTA ANA CA
92701-2304
US

IV. Provider business mailing address

1400 N MAIN ST
SANTA ANA CA
92701-2304
US

V. Phone/Fax

Practice location:
  • Phone: 714-541-6815
  • Fax: 714-541-8032
Mailing address:
  • Phone: 714-541-6815
  • Fax: 714-541-8032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA96999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: